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General NPI Number Information
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NPI Number | 1346508306
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Entity Type | Organization
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Legal Business Name | PALLIATIVE MEDICINE ASSOCIATES PLLC
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Dates
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Enumeration Date | 04/27/2012
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Last Update Date | 04/27/2012
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Provider Practice Location Address
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Address Line | 2346 S COMMERCE RD
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City | WALLED LAKE
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State | MI
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Zip | 48390-2126
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Country | US
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Telephone | 810-923-4485
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Fax | 248-849-2834
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Provider Business Mailing Address
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Address Line | 2346 S COMMERCE RD
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City | WALLED LAKE
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State | MI
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Zip | 48390-2126
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Country | US
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Telephone | 810-923-4485
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Fax | 248-849-2834
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. JOHN W FINN
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Credential | MD
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Telephone | 810-923-4485
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084H0002X
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Taxonomy Name | Hospice and Palliative Medicine (Psychiatry & Neurology) Physician
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License Number | 4301045058
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License Number State | MI
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